| NPI | 1699395673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROON WASEEM Chief Operating Officer 909-583-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-06-13 |